| NPI | 1427698224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2020002094) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2007005141) |
| 163WG0000X Registered Nurse, General Practice (Licence: KS 14-120092-122) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-81698-122) | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2023-01-24 |